Unit Secretary Abstractor

Candidate will be responsible for assisting physicians and clinic departments by providing clerical/technical assistance to maintain accurate electronic health data. Will work in a team environment and follow established routines for EHR data entry and communications. Ideal candidate demonstrates high-level of customer service skills, is detail oriented and efficient in the entry of data into health information systems via keyboard and mouse.

Obtain medical records and imaging on patients. Responsible for initial entry of patient data in EHR. Updates EHR with incoming patient records from transferring care providers. Maintains appropriate records, reconciling information with external and internal sources if necessary. Keeps work area neat, clean and safe. Cooperates with other personnel to maintain good employee and public relations. Informs supervisor or clinic manager of concerns and problems. Assist with other EHR assignments as needed. Complies with HIPAA regulations. Participates in quality measures. Willing to accept additional assignments. Demonstrates a customer-service, high satisfaction approach to work with providers and patients while entering data into the EHR. Abstracts records, meeting a minimum abstraction rate of 20 charts per day. Abstracts records consistently according to departmental standards, following the listed identified needs: Allergies Medications as directed by Director of Clinic Operations and Nursing Medical History Surgical History Family History Immunizations Health Management Screen Diagnostics Quality Information

Education/Experience:

Requires High School Degree or GED. Requires good interpersonal and communication skills (written and verbal) to effectively interact with physicians, patients, families, and clinic staff. Requires 6 months of prior abstracting experience. Knowledge of technical medical procedures, preferred. Prior medical terminology education, preferred.

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